DR. SINEE DISTHA-BANCHONG M.D. NPI 1669726832

NPI Information

NPI: 1669726832
Provider Name: DR. SINEE DISTHA-BANCHONG, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
1402 S GRAND BLVD
DIVISION OF NEPHROLOGY (9-FDT)
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 577-8765
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DR. Sinee Distha-banchong, M.D. is a nephrology internal medicine in Saint Louis, MO. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Sinee Distha-banchong, M.D. NPI is 1669726832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1402 S GRAND BLVD
DIVISION OF NEPHROLOGY (9-FDT)
SAINT LOUIS, MO
ZIP 63104-004
Phone: (314) 577-8765

The enumeration date for this NPI number is 11/9/2012 and was last updated on 11/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		2012037985	MISSOURI	No
2	207RN0300X	Internal Medicine	Nephrology	2012037985	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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